JASON S POPE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

POPE

Business Name

JASON S POPE

Original Issue Date

11/10/2004

Effective Date

12/15/2006

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008